Source Control pp 162-166 | Cite as

Invited Commentary

  • Beat Gloor
  • Markus W. Büchler


The key principles, as mentioned by Dr. Dellinger — prompt debridement when infection is diagnosed and, if at all, late debridement in patients with sterile necrosis — certainly represent today's “gold standard” in the surgical management of patients with severe acute pancreatitis. Although we agree with the key message of this chapter we take a somewhat different position regarding the following issues:


Acute Pancreatitis Severe Acute Pancreatitis Pancreatic Necrosis Necrotizing Pancreatitis Acute Necrotizing Pancreatitis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Golub R, Siddiqi F, Pohl D (1998) Role of antibiotics in acute pancreatitis: a meta-analysis. J Gastrointest Surg 2:496–503PubMedCrossRefGoogle Scholar
  2. 2.
    Gloor B, Müller AC, Worni M, Stahel FP, Redaelli C, Uhl W, Büchler MW (2001) Pancreatic infection in severe pancreatitis: the role of fungus and multi-resistant organisms. Arch Surg 136:592–696PubMedCrossRefGoogle Scholar
  3. 3.
    Warshaw AL (2000) Pancreatic necrosis: to debride or not to debride — that is the question. Ann Surg 232:627–629PubMedCrossRefGoogle Scholar
  4. 4.
    Büchler MW, Gloor B, Müller CA, Friess H, Seiler CA, Uhl W (2000) Acute necrotizing pancreatitis: treatment strategy according to the status of infection. Ann Surg 232:619–626PubMedCrossRefGoogle Scholar


  1. 1.
    Gecelter G, Fahoum B, Gardezi S, Schein M (2002) Abdominal compartment syndrome in severe acute pancreatitis: an indication for a decompressing laparotomy? Dig Surg (in press)Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2003

Authors and Affiliations

  • Beat Gloor
  • Markus W. Büchler

There are no affiliations available

Personalised recommendations